LARRY A MASI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116921

License Status

NOT RENEWED

Business

First Name

LARRY

Middle

Last Name

MASI

Suffix

Business Name

LARRY A MASI MD

Original Issue Date

09/13/2006

Effective Date

09/13/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008